Provider Demographics
NPI:1487235172
Name:NZEKWE, CHINYERE RECHEAL (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:CHINYERE
Middle Name:RECHEAL
Last Name:NZEKWE
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:CHINYERE
Other - Middle Name:RECHEAL
Other - Last Name:EZEALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9808 PHEASANT RUN CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3192
Mailing Address - Country:US
Mailing Address - Phone:240-485-6278
Mailing Address - Fax:
Practice Address - Street 1:9808 PHEASANT RUN CT
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-3192
Practice Address - Country:US
Practice Address - Phone:240-485-6278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR185059163W00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse